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Transcript

Crisis Development

Directive Nursing Response

  • take control of the situation
  • set limits

Kari Rengo, MSN, RN

Acting-Out Begins!

  • a total loss of control
  • physical violence

Obstacle 3

Obstacle 2

Theraputic Nursing Rapport

Nonviolent Physical Crisis InterventionNursing Response

  • reestablish therapeutic communication
  • debrief with the patient
  • safe, non-harmful seclusion and restraint techniques
  • goal is to control the individual until he/she can regain his/her own behavioral control
  • provides for safety of the patient and others on the unit
  • last resort in any situation

Getting Defensive!

  • losing rationality
  • becoming belligerent
  • challenging authority

Ahh, Tension Reduction!

  • decreased physical energy
  • decreased emotional energy
  • rationality returns

Hello Anxiety!

  • noticable change
  • increase in behavior

Start

Mr. Happy-Go-Lucky

Supportive Nursing Response

  • empathic
  • non-judgmental approach
  • attempt to alleviate anxiety

Obstacle 1

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